Journal of AdvancedMedical and Dental Sciences Research

Background: Endoscopic ultrasound (EUS) is used to detect and delineate the extent of lesions in the gastrointestinal tract, periluminal lymph nodes, pancreas and hepatobiliary tree, left kidney, spleen, and adrenal glands. EUS-guided fine-needle aspiration (FNA) has added a new dimension to the capabilities of EUS because it permits characterization of the lesion, thereby enabling triage of patients for more efficient and effective management. Hence; the present study was undertaken for assessing the association between the sedation method employed and the diagnostic yield of Endoscopic Ultrasound-guided Fine Needle Aspiration (EUG-FNA) of Pancreatic Masses. Materials & methods: A total 100 patients were enrolled and were divided into two study groups depending upon the type of sedation method employed: General anesthesia group and conscious sedation group. Complete demographic and clinical data of all the patients was obtained. All the suspected patients underwent Endoscopic Ultrasound-guided Fine Needle Aspiration according to their respective groups. Results: A cytological diagnosis was obtained in 86 percent of the patients of the general anesthesia group and 72 percent of the patients of the conscious sedation group. Association between the sedation method employed and diagnostic yield was significant in relation to tumour type and sensitivity analysis. Conclusion: Anesthesiologist-delivered GA was related with a suggestively enhanced diagnostic yield of EUS-FNA.